ANDREW S MRUGALA


Address: 101 St. Joseph's Candler Drive, Suite 22, Pooler, GA 31322
Phone: 9127481999

ANDREW S MRUGALA (NPI# 1518316207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518316207
Entity Type Individual
Full Name ANDREW S MRUGALA
Credential MD
Practice Address 101 St. Joseph's Candler Drive
Suite 22
Pooler
GA 31322
Mailing Address 836 E. 65th Street
Suite 22
Savannah
GA 31405
Practice Telephone 9127481999
Practice Fax Number 9127483847
Mailing Telephone 9128197878
Mailing Fax Number 9128193320
Enumeration Date 2016-06-03
Last Update Date 2020-09-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 2019-01744 NC Allopathic & Osteopathic Physicians
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
86158 GA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
IN STATE LICENSE 11018773A 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
611 E Douglas Rd, Suite 407, Mishawaka, IN 465451464 5743356500 5743350771

Office Location

Street Address 101 ST. JOSEPH'S CANDLER DRIVE
SUITE 22
City POOLER
State GA
Zip Code 31322

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023002730 Dolores J Haviland-foley Family Medicine 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 2005-09-08
1134770787 Melissa Susan Vaughan Nurse Practitioner 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 2019-09-25
1669989000 Caitlin C Young Nurse Practitioner 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 2018-01-08
1124412317 Knar H Mesrobian Family Medicine 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 2015-03-25
1104081082 Russell William Lake Family Medicine 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 2008-07-21
1528088648 Steven D Bischof Family Medicine 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 2006-07-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427518745 Quinate Pharmacy LLC Pharmacy 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 2019-03-22
1396202495 Rucker Holdings Durable Medical Equipment & Medical Supplies 210 Grand Central Blvd, Pooler, GA 31322 2019-02-25
1306301841 Altamaha Dme, Inc Durable Medical Equipment & Medical Supplies 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 2019-02-08
1750859351 Bombery Chiropractic LLC Chiropractor 122 Canal St. Ste 109, Pooler, GA 31322 2018-11-13
1407347891 Georgia Dental Professionals, PC Dentist 2140 Pooler Pkwy, Pooler, GA 31322 2018-05-22
1730685439 Monali Patel Optometrist 276 Pooler Pkwy Ste B, Pooler, GA 31322 2018-04-02
1144747023 Publix Super Markers, Inc Durable Medical Equipment & Medical Supplies 101 Blue Moon Crossing, Pooler, GA 31322 2017-08-23
1063932408 The Range Physical Therapy, LLC Clinic/Center 10801 County Line Rd, Madison, AL 31322 2017-06-27
1285154427 Pooler Physical Therapy LLC Clinic/Center 101 Shepherd Way, Pooler, GA 31322 2017-06-20
1578009130 Georgia Cvs Pharmacy L.l.c Durable Medical Equipment & Medical Supplies 500 Pooler Pkwy, Pooler, GA 31322 2017-01-06
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710545553 Palcare Health LLC Internal Medicine 1315 Merry Ln Ne, Atlanta, GA 30329-3903 2019-06-05
1518334200 Miguel E Stubbs M D P C Internal Medicine 230 Beaver Falls Pl Sw, Atlanta, GA 30331-8326 2015-08-28
1497155469 Golden Geriatrics LLC Internal Medicine 632 Vinings Estates Dr Se, Mableton, GA 30126-5991 2014-08-27
1821361577 Senior Care Office, LLC Internal Medicine 2020 Beverly Road, Gainesville, GA 30501-2037 2012-02-10
1609162965 Linduc PC Internal Medicine 2680 Lawrenceville Hwy Ste 202, Decatur, GA 30033-2526 2011-06-24
1447574918 David L. Anders, M.d., P.C. Internal Medicine 101 Mcwilliams Dr, Peachtree City, GA 30269-6948 2010-03-26
1639319502 New Snellville Clinic Internal Medicine 2331 Henry Clower Blvd, Suite A, Snellville, GA 30078-3155 2009-03-04
1952557977 Diego Hernando Remolina Internal Medicine 49 Jesse Hill Jr Dr Se Rm 471, Atlanta, GA 30303 2008-08-11
1912165192 Aristotle Cochon Internal Medicine 955 Lynn Dr, Waycross, GA 31503-8590 2008-05-25
1972792265 Perimeter Medical Associates,p.c. Internal Medicine 3775 N. Druid Hills Rd, Decatur, GA 30033 2007-10-23
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Competitor

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City POOLER
Zip Code 31322

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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